| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,144.75 | $4,975.88 | $16,467.00 | |
Cigna
| Facility | $100.00 | $560.00 | $615.00 | |
Medcost
| Facility | $1,873.75 | $2,264.81 | $3,689.48 | |
United
| Facility | $454.00 | $6,074.00 | $8,818.00 |